Requests for laboratory testing

An application form is included with every sample!

It is preferable to use the AML application forms, provided with your identification data by us. The various recepients are listed in the border. The abbreviations are explained in the Lab Guide.

The following information must appear on the application form:

  • Identification of the prescribing physician
    • Name, first name, address, NIDHI number (pre-printed)
    • Signature of the prescribing physician
  • Patient data:
    • Name
    • First Name
    • Address
    • Date of birth
    • Sex
    • National insurance number
    • Vignette of the insurance fund
  • Clinical data, if applicable (these are mandatory for an analysis with a diagnosis rule)
  • Date of prescription
  • Date and time of the collection (important for multiple collections)
  • Individually ticked analyses
  • Analyzes not printed on the application form can be noted in the box ‘other tests’.

You can request labels with your patient’s administrative data by ticking the ‘Label’ square on the application form.

If, despite the NIDHI restrictions, everything must be carried out, tick the box ‘Execute everything’.
The analyzes that cannot be charged to the NIDHI are passed on to the patient by the laboratory.

For some analyses, specific request forms are required (pathology, cytology, molecular diagnostics,…). The laboratory recommends the use of these specific forms stating all the necessary data.

Laboratories that subcontract analyzes must always state whether the patient is internal (hospitalized) or external (ambulatory).

Specific application forms can be made for laboratories, occupational health services and industry.

In order to process your application quickly and without errors, you should preferably use the scan forms that are read electronically.

Additional requests

If additional analyzes are necessary on the basis of the results obtained and/or the clinical course, this can be done on samples taken previously. Of course, this depends on the nature of the sample and the requested analysis.

Storage times:

  • Serum samples: 11 working days at 4°C
  • EDTA tubes: 3 working days at 4°C
  • Citrate tubes: 2 working days at room temperature
  • Glucose tubes: 1 working day at 4°C
  • Blood samples and sera for occupational health and toxicological research using elemental analysis, GC & GC-MS: 6 weeks at 4°C
  • Blood samples and sera for occupational health and toxicological research using HPLC: 6 weeks at -20°C
  • Samples for microbiology: 1 week at 4°C
  • Urines for occupational health and toxicological examination: 6 weeks at 4°C
Publication Date:
September 29, 2021 (11:07)